Champion Smiles Pediatric Dentistry, Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHAMPION SMILES PEDIATRIC DENTISTRY, INC

Practice address

1582 W 68TH St
Hialeah, FL 33014-3810

Phone

(305) 564-1717

NPI assigned

Mar 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephanie Mendigutia Machado, DMD

Title

Dentist/Owner

Phone

(305) 564-1717

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Ann Mendigutia, DMD

  • Dentist
  • Hialeah, FL
  • NPI 1801458484
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1407614175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143810",
            "telephone_number": "305-564-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143810",
            "telephone_number": "305-564-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION SMILES PEDIATRIC DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "MENDIGUTIA MACHADO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "305-564-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Chacon, M.D.
• Odin Chacon, LMT
• Seungwoo Chai, MD
• Miguel A Chamah-Farre, MD
• Alonda Chambers
• Ariana N Chan
• Adriel Ernesto Chang Bode
• Ashley Chang Quintana
• Michelle Chang
• Sailis Chang, FNP-BC

• Pediatric Dentistry in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.